Continuous passive motion compared with intermittent mobilization after total knee arthroplasty. Elaboration of French clinical practice guidelines - 24/05/07
Abstract |
Objective |
To develop clinical practice guidelines concerning the use of continuous passive motion (CPM) compared with intermittent mobilization after total knee arthroplasty (TKA).
Method |
We used the SOFMER (French Physical Medicine and Rehabilitation Society) methodology, combining systematic literature review and collection of everyday clinical practice concerning postoperative rehabilitation techniques and external review by a multidisciplinary expert panel, to develop the guidelines.
Results |
The literature contains no evidence of the advantages of CPM over other techniques of mobilization, although CPM could be adjuvant therapy used to accelerate short-term recovery. However, in France, CPM remains widely used after TKA, both in orthopedic surgery units and in physical medicine and rehabilitation services.
Conclusion |
Good methodological quality studies are needed to assess different CPM modalities and compare them to alternative intermittent mobilization techniques, particularly those with therapy starting from a flexed position.
Le texte complet de cet article est disponible en PDF.Keywords : Osteoarthritis, Knee arthroplasty, Postoperative rehabilitation, Recommendations, Guidelines, Clinical practice, Physiotherapy, Physical therapy, Arthroplasty, Continuous passive motion
Plan
Vol 50 - N° 4
P. 251-257 - mai 2007 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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